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Its a hormone that helps signal the body to prepare for sleep

Changes in dietary patterns, alcohol consumption, smoking, and IR also significantly contribute to its pathogenesis and progression [36]

People who cannot digest B12 can take a supplement that is placed and absorbed under the tongue (sublingual), inhaled through the nose, or given as a shot injected into muscle

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Because injections bypass the digestive tract, they may be preferred when absorption is the main concern
